TEST BANK
h
Essential Health Assessment
h h
Janice M Thompson
h h
1st Edition
h
,Table of Contents
h h
Chapterh01hUnderstandinghHealthhAssessment 1
Chapterh02hInterviewinghthehPatienthforhthehHealthhHistory 11
Chapterh03hTakinghthehHealthhHistory 40
Chapterh04hAssessinghNutritionhandhAnthropometrichMeasurements 61
Chapterh05hAssessmenthTechniques 88
Chapterh06hGeneralhSurveyhandhAssessinghVitalhSigns 99
Chapterh07hAssessinghPain 128
Chapterh08hAssessinghthehSkin,hHair,handhNails 149
Chapterh09hAssessinghthehHead,hFace,hMouth,handhNeck 188
Chapterh10hAssessinghthehEars 229
Chapterh11hAssessinghthehEyes 250
Chapterh12hAssessinghthehRespiratoryhSystem 281
Chapterh13hAssessinghthehCardiovascularhSystem 308
Chapterh14hAssessinghthehAbdomen 335
Chapterh15hAssessinghthehPeripheralhVascularhSystemhandhRegionalhLymphatichSystem 363
Chapterh16hAssessinghthehMusculoskeletalhSystem 391
Chapterh17hAssessinghthehNeurologicalhSystem 417
Chapterh18hAssessinghthehFemalehBreasts,hAxillae,handhReproductivehSystem 451
Chapterh19hAssessinghthehMalehBreastshandhReproductivehSystem 477
Chapterh20hAssessinghthehAnushandhRectum 501
Chapterh21hAssessinghthehNewborn 517
Chapterh22hAssessinghthehChildhandhAdolescent 555
Chapterh23hAssessinghthehPregnanthWoman 583
Chapterh24hAssessinghthehOlderhAdult 612
, TesthBankh-hEssentialhHealthhAssessment,h1stheditionh(Thompson,h2018)
Chapterh1:hUnderstandinghHealthhAssessment
1. ThehWorldhHealthhOrganizationh(WHO)hestablishedhahglobalhstrategyhcalledh“HealthhforhAll.”h
Thehgoalhforhthishstrategyhis:
1. Allhindividualshtohgeththehsamehhealthhcarehthroughouththeirhlifehspans.
2. Thehgovernmenthtohsupplyhmoneyhtohcarehforhallhthehpeoplehinhthehworld.
3. Resourceshforhhealthhcarehtohbehevenlyhdistributedhandhaccessible.
4. Health-carehprovidershcanhneverhdenyhpatientshhealthhcare.
2. Healthhassessmenthishahfoundationalhandhpriorityhnursinghskill.hThishessentialhskillhrequireshr
egisteredhnursesh(RNs)hto:
1. Diagnosehandhtreathpatients.
2. Identifyhnormalhandhabnormalhfindings.
3. Referhpatientshwithhabnormalhfindings.
4. Counselhpatientshwithhpsychosocialhneeds.
3. Youharehassessinghahpatienthwithhfivehgunshothwoundshonhahtraumahunit.hTherehishahpolicehpresenc
ehoutsidehhishdoorhbecausehthehpatienthishahknownhdrughdealerhinhthehcommunity.hYouhknowhthathnurs
eshmusthtreathallhpatientshashpersons.hThishishcalled:
1. Caring.
2. Holistichprocess.
3. Person-centeredhcareh(PCC).
4. Standardshofhcare.
4. Thehscience-
basedhframeworkhupdatedheveryh10hyearshbyhthehU.S.hDepartmenthofhHealthhandhHumanhService
shthathhashsethnationalhgoalshandhobjectiveshforhhealthhpromotionhandhdiseasehpreventionhis:
1. HealthyhPeople.
2. HealthyhPeopleh2020.
3. U.S.hPreventivehTaskhForce.
4. WorldhHealthhOrganization.
5. Ah38-year-oldhmalehhashahfamilyhhistoryhofhcolonhcancer.hHishfatherhdiedhofhcolonhcancerhathage
48.hThehdoctorhrecommendedhthaththishpatienthhavehahcolonoscopyhthishyear.hThishishanhexamplehof:
1. Primaryhhealthhprevention.
1h|hPhahghe
, TesthBankh-hEssentialhHealthhAssessment,h1stheditionh(Thompson,h2018)
2. Secondaryhhealthhprevention.
3. Tertiaryhhealthhprevention.
6. Ahpatienthinhthehhospitalhputshonhhishcallhlighthandhtellshthehpersonhansweringhthathheh“thinkshhehishr
unninghahfeverhandhhashstomachhdiscomfort.”hYouharehthehregisteredhnursehinhcharge.hWhathshouldhy
ouhdo?
1. Askhthehmedicalhassistanthtohgohtohthehpatient’shroomhandhassesshhishcomplaints.
2. GohcheckhtohseehifhthehpatienthhashanhorderhforhTylenolhforhahfever.
3. Pagehthehresidenthonhcallhimmediatelyhtohassesshthehpatient.
4. Gohtohthehpatient’shroomhandhassesshforhfeverhandhthehepigastrichdiscomfort.
7. Youharehleadinghanhinterdisciplinaryhteamhconferencehtohdiscusshhowhtohprovidehbetterhcarehforhahc
hallenginghpatienthwhohhashbehavioralhproblems.hThereharehseveralhareashthathneedhtohbehproblemhso
lvedhandhnewhideashformulatedhtohcreatehanhimprovedhplanhofhcare.hWhathcognitivehskillsharehyouhusi
ng?
1. Criticalhthinking
2. Clinicalhdecisionhmaking
3. Intuitivehthinking
4. Clinicalhreasoning
8. Besthpracticehassessmenthtechniqueshandhinstrumentshhavehbeenhvalidatedhby:
1. AmericanhNurseshAssociation.
2. CodehofhEthicshforhNurseshWithhInterpretivehStatements.
3. Researchhandhevidence-basedhpractice.
4. PatienthProtectionhandhAffordablehCarehAct.
9. Healthhandhillnessharehdeterminedhbyhmanyhfactors.hWhatharehthehdeterminantshofhhealthhidentifiedhb
yhthehCentershforhDiseasehControlhandhPreventionh(CDC)?hSelecthallhthathapply.
1. Geneticshandhbiology
2. Genderhandhoccupation
3. Individualhbehavior
4. Socialhenvironment
5. Physicalhenvironment
6. Healthhservices
2h|hPhahghe
h
Essential Health Assessment
h h
Janice M Thompson
h h
1st Edition
h
,Table of Contents
h h
Chapterh01hUnderstandinghHealthhAssessment 1
Chapterh02hInterviewinghthehPatienthforhthehHealthhHistory 11
Chapterh03hTakinghthehHealthhHistory 40
Chapterh04hAssessinghNutritionhandhAnthropometrichMeasurements 61
Chapterh05hAssessmenthTechniques 88
Chapterh06hGeneralhSurveyhandhAssessinghVitalhSigns 99
Chapterh07hAssessinghPain 128
Chapterh08hAssessinghthehSkin,hHair,handhNails 149
Chapterh09hAssessinghthehHead,hFace,hMouth,handhNeck 188
Chapterh10hAssessinghthehEars 229
Chapterh11hAssessinghthehEyes 250
Chapterh12hAssessinghthehRespiratoryhSystem 281
Chapterh13hAssessinghthehCardiovascularhSystem 308
Chapterh14hAssessinghthehAbdomen 335
Chapterh15hAssessinghthehPeripheralhVascularhSystemhandhRegionalhLymphatichSystem 363
Chapterh16hAssessinghthehMusculoskeletalhSystem 391
Chapterh17hAssessinghthehNeurologicalhSystem 417
Chapterh18hAssessinghthehFemalehBreasts,hAxillae,handhReproductivehSystem 451
Chapterh19hAssessinghthehMalehBreastshandhReproductivehSystem 477
Chapterh20hAssessinghthehAnushandhRectum 501
Chapterh21hAssessinghthehNewborn 517
Chapterh22hAssessinghthehChildhandhAdolescent 555
Chapterh23hAssessinghthehPregnanthWoman 583
Chapterh24hAssessinghthehOlderhAdult 612
, TesthBankh-hEssentialhHealthhAssessment,h1stheditionh(Thompson,h2018)
Chapterh1:hUnderstandinghHealthhAssessment
1. ThehWorldhHealthhOrganizationh(WHO)hestablishedhahglobalhstrategyhcalledh“HealthhforhAll.”h
Thehgoalhforhthishstrategyhis:
1. Allhindividualshtohgeththehsamehhealthhcarehthroughouththeirhlifehspans.
2. Thehgovernmenthtohsupplyhmoneyhtohcarehforhallhthehpeoplehinhthehworld.
3. Resourceshforhhealthhcarehtohbehevenlyhdistributedhandhaccessible.
4. Health-carehprovidershcanhneverhdenyhpatientshhealthhcare.
2. Healthhassessmenthishahfoundationalhandhpriorityhnursinghskill.hThishessentialhskillhrequireshr
egisteredhnursesh(RNs)hto:
1. Diagnosehandhtreathpatients.
2. Identifyhnormalhandhabnormalhfindings.
3. Referhpatientshwithhabnormalhfindings.
4. Counselhpatientshwithhpsychosocialhneeds.
3. Youharehassessinghahpatienthwithhfivehgunshothwoundshonhahtraumahunit.hTherehishahpolicehpresenc
ehoutsidehhishdoorhbecausehthehpatienthishahknownhdrughdealerhinhthehcommunity.hYouhknowhthathnurs
eshmusthtreathallhpatientshashpersons.hThishishcalled:
1. Caring.
2. Holistichprocess.
3. Person-centeredhcareh(PCC).
4. Standardshofhcare.
4. Thehscience-
basedhframeworkhupdatedheveryh10hyearshbyhthehU.S.hDepartmenthofhHealthhandhHumanhService
shthathhashsethnationalhgoalshandhobjectiveshforhhealthhpromotionhandhdiseasehpreventionhis:
1. HealthyhPeople.
2. HealthyhPeopleh2020.
3. U.S.hPreventivehTaskhForce.
4. WorldhHealthhOrganization.
5. Ah38-year-oldhmalehhashahfamilyhhistoryhofhcolonhcancer.hHishfatherhdiedhofhcolonhcancerhathage
48.hThehdoctorhrecommendedhthaththishpatienthhavehahcolonoscopyhthishyear.hThishishanhexamplehof:
1. Primaryhhealthhprevention.
1h|hPhahghe
, TesthBankh-hEssentialhHealthhAssessment,h1stheditionh(Thompson,h2018)
2. Secondaryhhealthhprevention.
3. Tertiaryhhealthhprevention.
6. Ahpatienthinhthehhospitalhputshonhhishcallhlighthandhtellshthehpersonhansweringhthathheh“thinkshhehishr
unninghahfeverhandhhashstomachhdiscomfort.”hYouharehthehregisteredhnursehinhcharge.hWhathshouldhy
ouhdo?
1. Askhthehmedicalhassistanthtohgohtohthehpatient’shroomhandhassesshhishcomplaints.
2. GohcheckhtohseehifhthehpatienthhashanhorderhforhTylenolhforhahfever.
3. Pagehthehresidenthonhcallhimmediatelyhtohassesshthehpatient.
4. Gohtohthehpatient’shroomhandhassesshforhfeverhandhthehepigastrichdiscomfort.
7. Youharehleadinghanhinterdisciplinaryhteamhconferencehtohdiscusshhowhtohprovidehbetterhcarehforhahc
hallenginghpatienthwhohhashbehavioralhproblems.hThereharehseveralhareashthathneedhtohbehproblemhso
lvedhandhnewhideashformulatedhtohcreatehanhimprovedhplanhofhcare.hWhathcognitivehskillsharehyouhusi
ng?
1. Criticalhthinking
2. Clinicalhdecisionhmaking
3. Intuitivehthinking
4. Clinicalhreasoning
8. Besthpracticehassessmenthtechniqueshandhinstrumentshhavehbeenhvalidatedhby:
1. AmericanhNurseshAssociation.
2. CodehofhEthicshforhNurseshWithhInterpretivehStatements.
3. Researchhandhevidence-basedhpractice.
4. PatienthProtectionhandhAffordablehCarehAct.
9. Healthhandhillnessharehdeterminedhbyhmanyhfactors.hWhatharehthehdeterminantshofhhealthhidentifiedhb
yhthehCentershforhDiseasehControlhandhPreventionh(CDC)?hSelecthallhthathapply.
1. Geneticshandhbiology
2. Genderhandhoccupation
3. Individualhbehavior
4. Socialhenvironment
5. Physicalhenvironment
6. Healthhservices
2h|hPhahghe
